Hawaii dhs unclaimed body 2026

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The document is an application form for the Death Payments Program by the State of Hawaii's Department of Human Services, intended for unclaimed bodies. It collects information about the deceased, including personal details and body location, as well as the applicant's information. The form also inquires about available funeral benefits and includes a certification statement regarding the truthfulness of the provided information. Additionally, it outlines procedures for disposition and authorization for cremation if no responsible relatives are willing to arrange funeral services.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the decedent’s information. Fill in the name, sex, social security number, veteran status, date of birth, and date of death. Specify the body location clearly.
Next, provide applicant information. Enter your name, facility’s name, contact phone number, position (if applicable), and fax number.
Indicate whether any full funeral benefits are available for the decedent by selecting 'Yes' or 'No'. If yes, provide details in the space provided.
Complete the applicant's mailing address section accurately to ensure proper communication.
Sign and date the application at the bottom to certify that all information is true to your knowledge.

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